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professional development > budget's, ethics, morals, conflict resolution > Flashcards

budget's, ethics, morals, conflict resolution Flashcards

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1
Q

what is a capital budget?

A

funds allocated for equipment and building structures/repairs such as IV pumps, MRI machines, bladder scanners etc
-requests for new equipment MUST include a clinical impact statement

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2
Q

what is an operating budget

A

funds allocated to things used/needed daily to keep the place OPERATING with two components: labour and supply/expense i.e. supplies, linens, medications

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3
Q

what is a CEO earnings report

A

-monthly reports of key areas that senior management tracks
i.e. sick paid hours per employee, sick unpaid hours per employee, sick leave relief hours, works comp, overtime, orientation hours

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4
Q

what is a fixed cost

A

costs of goods that they have to have and remain relatively the same i.e rent, supplies etc

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5
Q

what is a variable cost

A

costs that change i.e. staff, and RN is more expensive than a PCA

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6
Q

what is a labour budget

A

-the cost of staff needed based on how many they need, skill mix, full-time vs part-time etc

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7
Q

what is a supply and expense budget

A

-account for a variety of items used daily i.e. syringes, alcohol swabs etc
-usually based on previous years

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8
Q

conflict as a negative

A

interferes with organization climate and decreases morale and teamwork

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9
Q

conflict as a positive

A

unites group and motivates them, empowers members to work toward a solution

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10
Q

4 stages of conflict

A
  1. frustration
    2.conceptualization
    3.action
    4.outcomes (may return to frustration based on outcome)
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11
Q

approaches to conflict resolution

A

-avoiding
-accommodating
-competing
-compromising
-collaborating

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12
Q

avoiding conflict approach

A

they deliberately ignore or withdraw from a conflict rather than face it

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13
Q

accommodating conflict approach

A

they will set aside their own needs to please the other people involved in the conflict to keep the peace
-not fulfilling and will burn out

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14
Q

competing conflict approach

A

views conflict as a win-lose scenerio
they are assertive and uncooperative, they will compete with the other person/group to “win” the conflict

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15
Q

compromising conflict approach

A

both sides sacrifice something to reach a mutually acceptable solution
-think creating a fair deal is better than no deal

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16
Q

collaborating conflict resolution

A

aims to address the concerns of all parties involved and create a mutually acceptable agreement that satisfies all underlying needs and interests

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17
Q

7 ethical principles

A

1.autonomy
2.justice
3.beneficence
4.nonmaleficence
5.veracity
6.fidelity
7.confidentiality

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18
Q

what is autonomy

A

the right to chose

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19
Q

criticism of autonomy

A

autonomy can lead to a focus on the rights or needs of others; mitigated by enactment of relational ethics

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20
Q

what is justice

A

the concept that everyone should be treated equally and fairly

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21
Q

what is beneficence

A

actions should do good

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22
Q

what is nonmaleficence

A

actions should do no harm

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23
Q

what is veracity

A

the obligation to tell the truth (versus acceptability of deception)

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24
Q

what is fidelity

A

the need to keep promises

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25
what is confidentiality
obligation to respect privacy of others -right to privacy
26
nurses code of ethics
-canadian nurses association code of ethics for registered nurses -international council of nurses code of ethics
27
7 primary values of the CNA code of ethics
1.safe, compassionate, competent, and ethical care 2.health and well-being 3.respect for informed decision making 4.dignity 5.privacy and confidentiality 6.justice 7.accountability
28
What is moral uncertainty
conflict between one or more values and uncertainty about the correct course of action
29
what is ethical violation
actions or failure to act that breach fundamental duties to a person receiving care or to colleagues and other health care providers
29
what is an ethical dilemma
equally compelling reasons for or against a possible course of action
30
what is moral distress
the individual knows the right thing to do, but the organization constraints make it difficult to take the right course fo action
31
long term consequences of moral distress
-moral residue -moral resilience
32
steps in ethical decision makings
-clarify the need -identify all people involved -arrange a meeting -select a facilitator -identify areas of agreement -identify areas of disagreement -offer resources -seek outside advice -make a decision -implement the decision
33
what is total patient care
assigned nurse assumed total responsibility for meeting the needs of all assigned patients during their time on duty
34
benefits of total patient care
-holistic, increases autonomy and responsibility, assignments are not difficult, clear lines of responsibility, care is consistent
35
disadvantages of total patient care
-higher cost -requires high skill -higher trained personnel performing care PCAs could provide -poorly skilled or inexperienced individuals=not safe
36
what is functional nursing
-professional and non-professional staff -uses unskilled workers who have been trained to do certain tasks -care is assigned by task not pts -determined by scope of practice i.e. bath nurse, IV nurse, medication nurse etc
37
benefits of functional nursing
-efficient use of various personnel -tasks completed quickly -little confusion regarding responsibility -more economical -allows care to be provided with minimal # of RNs
38
disadvantages of functional nursing
-care is less holistic -care is fragmented and task-orientated -priority health needs may be overlooked -low job satisfaction -lapses in communication may occur -professional nurses may find this frustrating
39
what is team nursing
a team of caregivers collaborate to provide care to a group of patients -team should be NO MORE than 5 people
40
benefits of team nursing
-efficient use of personnel -comprehensive care with proper team communication -autonomy of members result in high satisfaction -decisions are made at grassroots level -patient satisfaction improved
41
disadvantages of team nursing
-lack of time for communication -fragmented care -blurred lines of responsibility -large teams are difficult to manage
42
what is primary nursing
-requires an ALL-RN staff -RN assumes 24h responsibility for planning the care of one or more patients from admission to discharge -during work hours the primary nurse provides total patient care
43
benefits of primary nursing
consistent care -holistic & high-quality care -increased autonomy and responsibility -high levels of job satisfaction -patient satisfaction improved
44
disadvantages if primary nursing
-RN needs enough education and experience -RN may not be willing or ready to take on role -varying schedules may make implementation difficult
45
what is case management nursing
-coordinates health care by planning, facilitating, and evaluating interventions across levels of care for cost containment and quality outcomes -improved pt outcomes and dec length of stay
46
what does choosing the best patient care delivery system depend on?
1.skill & expertise of staff 2.availability of RNs 3.economic resources of the organization 4.acuity of patients 5.complexity of care
47
bill 70: an act respecting patient safety and quality assurance in the province
-requires close call, occurrence, adverse health event -requirement to review and report -no retaliation
48
what is a just safety culture
the goal is to promote safety in reporting and to foster fairness, consistency, and transparency
49
what is a close call
a potential occurrence that did not actually occur due to chance, corrective action, or timely intervention
50
what is an occurrence
an undesired or unplanned event that does not appear to be consistent with the safe provision of health services
51
what is an adverse health event
an occurrence that results in an unintended outcome which negatively affects a patient's health or quality of life
52
CSRS submission process
1.CSRS submission 2.management investigation 3.quality risk manager review 4.occurence coding and closure 5.loop closure
53
proximal social determinants of health for indigenous people
health behaviours physical and social environment
54
intermediate social determinants of health for indigenous people
community infrastructure resources systems capacities
55
distal social determinants of health for indigenous people
historic political social economic contexts
56
what is jordan's principle
-by jordan river anderson -"child-first principle" -ensures all first nations children in Canada can access the products, services, and supports they need when they need them
57
six core competencies in CINA, CNA, and CASN
1. postcolonial understanding 2.communication 3.inclusivity 4.respect 5.indigenous knowledge 6.mentoring and supporting students for success
58
what is centralized scheduling
-staffing decisions made by a central office
59
what is decentralized scheduling
-staffing is done at the unit level, frequently by the unit manager
60
advantages of centralized scheduling
-tends to be more fair to staff -frees middle manager for other tasks -most cost effective
61
disadvantages of centralized scheduling
-does not provide flexibility to the nurse -does not account for nurses desires or special needs -manager may not be as responsive to personal budget control
62
advantages of decentralized scheduling
-allows manager to make the decisions -allows staff to make requires directly to the manager -allows staff to feel more in control of their scheduling
63
disadvantages of decentralized scheduling
-inc risks of staff treated inconsistently -time consuming -difficult to ensure high-quality staffing decisions

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